| Lesli Izella Nicolay, | |
|
11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | |
| (909) 558-2735 | |
| (909) 558-2731 |
| Full Name | Lesli Izella Nicolay |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 11370 Anderson St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093917106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A98098 (California) | Primary |
| Entity Name | Hawaii Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
| Entity Name | Kapiolani Medical Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895 |
| Entity Name | Kapiolani Medical Center For Women & Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548215692 PECOS PAC ID: 9830097914 Enrollment ID: O20031229000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesli Izella Nicolay, 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 Ph: (909) 558-2735 | Lesli Izella Nicolay, 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 Ph: (909) 558-2735 |
Brian Hu, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 1100, Loma Linda, CA 92354 Phone: 909-558-2830 | |
Edmund Yuey Kun Ko, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite 1100, Loma Linda, CA 92354 Phone: 909-558-2830 Fax: 909-558-2445 | |
Ala'a Najeeb Hanna Farkouh, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4196 | |
Dr. Catherine J Chen, MD Urology Medicare: Medicare Enrolled Practice Location: 11370 Anderson St Ste 2050, Loma Linda, CA 92354 Phone: 909-558-2735 Fax: 909-558-2731 | |
Dalton Duane Baldwin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste. 1100, Loma Linda, CA 92354 Phone: 909-558-2830 | |
Paul D Lui, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 1100, Loma Linda, CA 92354 Phone: 909-558-2830 |